When it comes to healthcare insurance programs, we know that one size does NOT fit all.
CA Insurance Services, LLC focuses on providing health benefit producers with innovative funding options not available through the traditional fully insured programs offered by national and regional insurance carriers.
With more than 30 years of self-funding expertise, we seek healthcare programs that offer employer groups a long-term strategy in managing healthcare costs. When moving from a traditional insurance plan to alternative funding plans, the purchasing dynamic changes from buying insurance to purchasing healthcare for the covered employees.
We have multiple resources to structure a “total solution offering.” These resources include stop-loss coverage underwriters, network or Reference-Based Pricing arrangements, transparent pharmacy vendor and multiple third party administrators.
We have the capacity to provide quotes from five to 500 or more enrollees and would like the opportunity to show you the value we deliver. Request a quote today.
Contact
☎ Contact
Bob Calvisi, Risk Consultant bob@caservicesllc.com
512-944-6844
Office Hours
Monday - Friday
9AM - 5PM (Central)
Areas of Expertise
Stop-Loss coverage marketing & placement
We have relationships with over 20 stop-loss underwriting facilities; however we do not “shotgun” every prospective employer group. We take the time to understand the agent or consultant perspective and what they are looking to accomplish for the employer client. We tailor our marketing efforts to the best fitting option available. Visit the Programs and Services page to see a list of available programs.
network access & reference-based pricing
Depending on the employer size, we can offer multiple network options such as national networks, regional “narrow networks” or “direct contracts,” modified reference-based pricing with physician network component, and pure reference-based pricing.
pharmacy programs
Pharmacy programs can be very deceptive with formulas for rebate dollars that may or may not be shared by the incumbent carrier or TPA. This is hidden money being retained by the carrier, TPA, or PBM that is never disclosed in many programs, leaving the employer to pay more than required when providing prescription benefits.
We only offer a fully transparent pharmacy benefit program using an experienced preferred partner called EHIM RX, with over three million members enrolled. The employer receives the best price on all prescriptions and EHIM “Cares Program”addresses high-cost specialty drug issues. Cost for the program is either on a per-prescription or per-employee per-month unit basis.
third-party administration
Third party administrators come in many variations and with our experience in managing TPA’s, we select the entity that matches best with a particular program offering. We only suggest administrators that have multiple years of experience, a great reputation, and share the same goals in offering the most cost-effective programs.
care navigation programs
To supplement network or reference-based pricing programs, we can include Care Navigation services. This type of program utilizes bundled all-inclusive surgery programs that generate significant savings and use high quality providers. Incentives such as Deductible and Out-of-Pocket waivers and cash incentives are offered so employees will access these types of programs.
Let's Chat.
Use the form below to contact us with questions or to request a quote.